Menopause

Starred review from August 1, 2014

In 1991, the Women's Health Initiative Study reported an increase in cancer and cardiovascular disease in women who had used hormone replacement therapy (HRT). Gynecologist Wren, founder of the Australian Menopause Society, and nurse/midwife Meere (Baby's First 100 Days) contend that the results of that study were misinterpreted, and question the recommendation that menopausal women cease the use of estrogen and progestin to treat physical and emotional symptoms of menopause. They present a convincing case, based on newer findings as well as review of earlier findings, for the use of HRT. The authors suggest that it is vitally important for all women to maintain the normal function of the cells in the body and describe the ways in which HRT can help with that maintenance. Although there are anecdotal reports of relief from bothersome hot flashes in response to the use of alternative therapies, Wren and Meere point out that there is no scientific evidence that those treatments provide protection to the uterus, breasts, vagina, bones, arteries, or heart. VERDICT Offering a different conclusion to recent books such as Prevention magazine's The Natural Menopause Solution (2012), this highly recommended read will give women much to consider and weigh.--Linda F. Petty, Wimberley, TX

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